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ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Hand Transplantation versus Prosthetic Substitution in Upper Extremity Amputees: Current Practice and Future Prospects

Salminger S1,2, Hruby LA2,3, Sturma A2,4, Mayer JA2 and Aszmann OC1,2*

1Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Austria

2Christian Doppler Laboratory for Restoration of Extremity Function, Medical University of Vienna, Austria

3Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Austria

4Universtity of Applied Sciences FH Campus Wien, Vienna, Austria

*Corresponding Author:
Oskar C Aszmann
Division of Plastic and Reconstructive Surgery Department of Surgery
Medical University of Vienna
Waehringer Guertel 18-20, A-1090 Vienna, Austria
Tel: 004314040069940
Fax: 00431404006988
E-mail: [email protected]

Received Date: November 04, 2016; Accepted Date: December 19, 2016; Published Date: December 28, 2016

Citation: Salminger S, Hruby LA, Sturma A, Mayer JA, Aszmann OC (2017) Hand Transplantation versus Prosthetic Substitution in Upper Extremity Amputees: Current Practice and Future Prospects. Int J Phys Med Rehabil 5:383. doi: 10.4172/2329-9096.1000383

Copyright: © 2016 Salminger S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Hand transplantation and prosthetic substitution are the only two concepts available to restore hand function after hand loss. However, the indication for either technique must be carefully weighed for each patient. Recent investigations have shown no significant difference between transplanted and prosthetic hands in below elbow amputees. Thus, treatment should be guided by what is most beneficial for the patient with the least risk of harm. Due to frequently encountered side effects of immunosuppression the indication for allotransplantation must still be restrictive, the best being bilateral hand loss.

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